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With DSPS, when no bright light stimulus is given, the body’s clock
will migrate on its own to a later time. So the trick is to get light
after the subjective peak time, so that it resets the body clock to
an earlier time of day.
The
trick is to get light
after
the subjective peak time,
so that it resets the
body clock to an
earlier time of day.
The brain will be receptive to light therapy within a two to four
hour window from this peak time, and the effect is greater when light
is received closer to the peak time.
It is also important to avoid any bright light before this peak time,
as this might further delay the body clock and exacerbate the problem.
Determining Body Temperature minimum
Although most people are unable to go to a sleep lab to determine their
body temperature drop, they can get pretty close by examining their
natural
If
one is allowed to sleep
in,
he or she should usually wake
up approximately two hours
after this 'peak time'.
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sleep/wake cycle. If one is allowed to sleep in, he/she should usually
wake up approximately one to two hours after this ‘peak time’. For example,
if the person wakes up around 2:00pm, his/her subjective peak time would
be around noon. If a very strong stimulus of light is received just
after noon (for at least 30 minutes), it will reset the body clock as
much as two hours earlier.
The next day, bright light could be received as early as 10:00am or
10:30am. Each succeeding day the time can be set as much as 2 hours
earlier until he/she is waking up at 7:00am or earlier.
The body’s internal clock can be pushed or reset as much as two hours
per day, although one hour per day is more advisable. With this schedule,
bright light could be received Saturday at noon, and by Monday the person
could be waking up at 8:00am or 7:00am.
. Delayed circadian
rhythm (waking time 11:00 a.m.+). Body temperature drop has shifted to
9 a.m. or later.
Reducing Treatment Time
Once this new schedule is set, and one is responding well to it, he/she
may not need to continue using the lightbox for a full 30 minutes. After
a week or two, most people can reduce their treatment schedule to 20
or even 15 minutes /day. Doctors also recommend wearing dark sunglasses
for the
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first few days in the morning time while resetting the body clock to
an earlier time. For example, if one receives a bright stimulus of light
at noon, he/she must avoid any bright light before that time because
it may push the body clock in the wrong direction. Using sunglasses
each day until the internal clock is reset to the proper time will help
avoid this problem.
Unrecognizable Sleep Patterns
Often people will complain of Seasonal Affective Disorder without showing
these symptoms of DSPS. However, the rule of thumb is that if people
have a difficult time awakening (for example if they need an alarm clock
to wake them up), they should use the lightbox in the morning time.
Secondary Instructions
The majority of people with Delayed Sleep Phase Syndrome do very well
with just morning light. However, some find after a few weeks that they
still haven’t achieved the desired effect, and that they lose energy
in the late afternoon or evening. Additional relief may be found by
using the lightbox also in the late afternoon or evening time. However,
it is critical to stay at least twice as far away from the lightbox
in the evening time as opposed to morning use.
Staying twice as far away will reduce the intensity to approximately
2,500 - 3,000 lux and thus won’t confuse the brain into thinking that
the evening is time to reset its body clock. If the brain receives the
same intensity in the morning and evening, it could cancel the effect
of morning light and not be as effective
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